MEMBERSHIP APPLICATION

USAF Military Training Instructor Association, P.O. Box 276477, San Antonio, TX 78227-6477
Name:
Address:-
City:-------------------------------------------------------State:--------------------ZIP:
Phone:--(-------------)--------------------------------------------------------------------------------------------------------
Rank: -------------------------------------------------(highest rank achieved)
E-Mail Address (optional):
When were you an MTI? (i.e. 1980 - 1985):
Your Organization (i.e. 3704 BMTS):
Which base did you serve at as an MTI?:

Did you receive any awards while you were an MTI? (i.e. Blue Rope)

Do you consent to permit your contact information to be made available to other MTIA Members?:

____ Yes------------____ No

What will your membership status be?:----

-____ Regular----____Associate---____ RENEWAL ----
DUES

TSgt and below:----------MSgt and above:

One Year: $20.00----------One Year: $25.00

Two Years: $35.00----------Two Years: $45.00

Three Years: $45.00----------Three Years: $60.00

Make Check or Money Order out to: USAF Military Training Instructor Association or USAF MTIA

Amount Enclosed: $----------------------------------(-(Please, DO NOT send cash)
Your Personal Certification

I certify that, upon separation or at the time of my retirement, I received an Honorable Discharge. I further certify that, to the best of my knowledge, I was never permanently removed from the MTI program due to misconduct.

Your Signature: --------------------------------------------------------------------Date:
Recruitment

How did you hear about the MTIA?:

-____ Friend or Co-worker----____ Ad------____Internet -----____ Other:
If you were recruited, who recruited you?